Exelderm Cream (sulconazole cream) — CareFirst (Caremark)
Tinea (Pityriasis) Versicolor
Preferred products
- butenafine cream (Mentax)
- ciclopirox cream
- ciclopirox suspension/lotion (Loprox cream, suspension/lotion)
- clotrimazole cream
- clotrimazole solution
- econazole cream
- ketoconazole cream
- ketoconazole shampoo
- oxiconazole cream (Oxistat cream)
Initial criteria
- The requested drug is being prescribed for the treatment of Tinea (Pityriasis) Versicolor
- The requested drug is NOT being used in a footbath
Approval duration
3 months